Provider Demographics
NPI:1588878771
Name:ADLER, NATHAN (LCSW)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:
Last Name:ADLER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8778 WOLFF CT
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-3698
Mailing Address - Country:US
Mailing Address - Phone:303-349-3274
Mailing Address - Fax:303-751-1311
Practice Address - Street 1:8778 WOLFF CT
Practice Address - Street 2:SUITE 204
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-3698
Practice Address - Country:US
Practice Address - Phone:303-349-3274
Practice Address - Fax:303-751-1311
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO987001101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health